Patient-Entered Wellness Data and Tailored Electronic Recommendations Increase Preventive Care

Foucher-Urcuyo, Julie; Longworth, David L.; Roizen, Michael F.; Hu, Bo; Rothberg, Michael B.

doi:10.3122/jabfm.2017.03.160231

Cited by 7 publications

(2 citation statements)

References 19 publications

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“… National Academy of Medicine X X X X X X X X X X X No No Estabrooks et al [ 38 ]. Centers for Medicare and Medicaid Services; National Academy of Medicine X X X X X X X X X Yes No Foucher-Urcuyo et al [ 53 ]. Not reported X X No No Glasgow et al [ 55 ].…”

Section: Resultsmentioning

confidence: 99%

“Engaging stakeholders in integrating social determinants of health into electronic health records: a scoping review”

Wark

Cheung

Wolter

et al. 2021

International Journal of Circumpolar Health

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Social, environmental, and behavioural factors impact human health. Integrating these social determinants of health (SDOH) into electronic health records (EHR) may improve individual and population health. But how these data are collected and their use in clinical settings remain unclear. We reviewed efforts to integrate SDOH into EHR in the U.S. and Canada, especially how this implementation serves Indigenous peoples. We followed an established scoping review process, performing iterative keyword searches in subject-appropriate databases, reviewing identified works' bibliographies, and soliciting recommendations from subject-matter experts. We reviewed 20 articles from an initial set of 2,459. Most discussed multiple SDOH indicator standards, with the National Academy of Medicine's (NAM) the most frequently cited (n = 10). Common SDOH domains were demographics, economics, education, environment, housing, psychosocial factors, and health behaviours. Twelve articles discussed project acceptability and feasibility; eight mentioned stakeholder engagement (none specifically discussed engaging ethnic or social minorities); and six adapted SDOH measures to local cultures. Linking SDOH data to EHR as related to Indigenous communities warrants further exploration, especially how to best align cultural strengths and community expectations with clinical priorities. Integrating SDOH data into EHR appears feasible and acceptable and may improve patient care, patientprovider relationships, and health outcomes.

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Section: Resultsmentioning

confidence: 99%

“Engaging stakeholders in integrating social determinants of health into electronic health records: a scoping review”

Wark

Cheung

Wolter

et al. 2021

International Journal of Circumpolar Health

View full text Add to dashboard Cite

show abstract

“…Foucher-Urcuyo and coauthors 10 used a technology intervention-namely, patient-entered data using a tablet device in the waiting room-to increase the provision of preventive services. This method probably cues both patients and physicians to consider these services, and may be more successful than some other methods, such as getting patients to enter data from home, in advance of visits.…”

Section: Decision: How To Promote Patient-entered Data To Increase Prmentioning

confidence: 99%

Research on Clinical Decisions Made Daily in Family Medicine

Bowman¹,

Neale²,

Seehusen³

2017

J Am Board Fam Med

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This issue presents research on the types of decisions that are required daily in family medicine. Patients often make these health decisions, and family physicians help patients with these decisions daily. Patients and their family physicians discuss when to quit screening for colon cancer, which treatment to choose for localized prostate cancer, when to test for pertussis when a cough is present, whether to take prescribed medications, how to complete more preventive services, and how to understand the "new genetics", and family physician use of telehealth. Decision: Intensity of Depression InterventionThe DOC-6 1 can help providers predict which patients with depression are likely to enter remission and which are likely to continue to suffer from persistent depressive symptoms after 6 months. This tool is based on demographic factors and familiar, commonly used instruments. The factors in the final instrument are intuitive and consistent with well-known literature, and most family physicians would be able to predict them. Advantages are that the instrument can be scored by office staff and is thus more straightforward than physician "intuition." Notably, this study was done in the setting of an established, reliable collaborative care model for patients with depression.

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Creation of the Person-Centered Wellness Home in Older Adults

Mielenz

Tracy

Jia

et al. 2020

Innovation in Aging

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Background and Objectives Extending the Patient-Centered Medical Home (PCMH) model into the community may address the poor linkage between medical clinics and underserved communities. Our first of three objectives was to determine if peer leaders and wellness coaches can be the relationship center of wellness care. We evaluated the Self-management Resource Center Small Group Programs (SMRCSGP), plus wellness coaching, as a booster intervention in older adults with chronic diseases. Second, we evaluated the role of personal health records (PHR) prototype as the linkage between the clinic and community. Using input from these two objectives, we lay the groundwork for the Person-centered Wellness Home (PCWH). Research Design and Methods Participants enrolled from five South Bronx New York City Housing Authority communities. We conducted a pragmatic, randomized controlled trial using two arms (n = 121): (1) SMRCSGP and (2) SMRCSGP plus wellness coaching initiated as a booster after SMRCSGP completion. Adjusted individual growth models compared the slope differences for outcomes. We conducted a social networking analysis on the ties between wellness coaches and participants. PCMH-certified physicians completed in-depth interviews on the PHR prototype. An adaptation from the consensus-workshop model summarized the priority PCWH items. Results There was an improvement in self-reported physical functioning (2.0 T-score units higher, p = .03) by the wellness coaching group, but the groups did not differ on physical activity. From the social networking analysis, connections were stable over time with wellness-coaches and participants. The Consensus Conference identified eight major components of the PCWH. Discussion and Implications Wellness coaching post-SMRCSGP was a booster to physical function, an upstream outcome for physical activity. During the Consensus-Conference, community-based prevention marketing and personal navigators for connecting to a PCMH emerged as novel components. This supports future work in training community health workers as peer leaders to provide evidence-based programs and other PCWH components.

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Patient-Entered Wellness Data and Tailored Electronic Recommendations Increase Preventive Care

Cited by 7 publications

References 19 publications

“Engaging stakeholders in integrating social determinants of health into electronic health records: a scoping review”

“Engaging stakeholders in integrating social determinants of health into electronic health records: a scoping review”

Research on Clinical Decisions Made Daily in Family Medicine

Creation of the Person-Centered Wellness Home in Older Adults

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